飞行员肠镜筛查检出乙状结肠高危腺瘤二例
Chinese Journal of Aerospace Medicine(2019)
Abstract
一、临床资料 例1,男,50岁,飞行员,因颈纤维组织炎入院.家族史无特殊,无烟酒等嗜好.查体无特殊.患者要求胃肠镜检查.肠镜发现乙状结肠直径约1.2 cm息肉,带蒂,活检提示为管状腺瘤低级别.遂行内镜下息肉切除.术后全瘤送检病理结果与术前相同,断端未累及. 例2,男,53岁,飞行员,因高血压人院.其父患胆囊癌,无烟酒嗜好.平素间断有大便不成形,查体无特殊.行肠镜检查,发现乙状结肠直径约1.5 cm粗蒂息肉,表现呈桑椹样,充血.活检提示为管状绒毛状腺瘤,局灶呈高级别上皮内瘤变.CT未见肿大淋巴结.行内镜下息肉切除.术后全瘤送检病理与术前相同,断端未累及. 两例飞行员均术后疗养1个月,航空医学鉴定结论为飞行合格.放飞后无不良反应.术后3个月复查,创面愈合良好,未见肿瘤性病变.
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Key words
Coronary heart disease,Risk factors,Electrocardiography,Ultrasonography,Civil pilots
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